理疗在纤维肌痛上的应用

Anna Mickiewicz

A. Mickiewicz – Physiotherapy in the treatment of fibromyalgia. Fizjoterapia Polska 2019; 19(2); 20-26

摘要
纤维肌痛为一种慢性病,其特性为疼痛、睡眠障碍、疲劳、认知障碍和其他许多对患者的功能状态和生活治疗具负面影响的身体症状。
纤维肌痛患者的第一线治疗应该是非药物治疗,其中包括:体育锻炼、利用身体要素的疗程、按摩或手指医疗等。
本研究的目的在介绍包括系统评价、荟萃分析及随机临床试验中的最新科学报告,当中描述针对纤维肌痛患者的选定理疗疗程的有效性。
材料及方法:已针对PubMed 及 PEDro 数据库中针对纤维肌痛选定理疗应用可能性的可用文献进行评价,该评价包括最新系统评价、荟萃分析及随机临床试验的结果,指出使用选定体育锻炼、身体因素及按摩对纤维肌痛患者的有效性。

关键词:
纤维肌痛、理疗、体育锻炼、身体因素、按摩

 

Pobierz/Download/下載/Cкачиваете 免費下載(僅限英文版)

Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test

Katarzyna Bogacz, Marek Woszczak, Jacek Łuniewski, Marcin Krajczy, Bartosz Pańczyszak, Jan Szczegielniak, Marek Kiljański

K. Bogacz, M. Woszczak, J. Łuniewski, M. Krajczy, B. Pańczyszak, J. Szczegielniak, M. Kiljański – Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test; Fizjoterapia Polska 2018; 18(1); 96-106

DOI: https://doi.org/10.56984/8ZG0768F5

Abstract

Objective. The aim of the paper was to assess the results of physiotherapy of COPD patients whose elgibility for the relevant rehabilitation model was assessed with the help of the 6-MWT test and the treadmill test according to the modified Bruce protocol.
Materials and methods. 80 individuals suffering from COPD treated as in-patients at the MSWiA Specialist Hospital in Głuchołazy between May 2017 and September 2017 were examined. After a 3-week comprehensive physiotherapy, the exercise stress test, spirometry test and dyspnoea assessment on the modified 10-point Borg scale were repeated in both groups of COPD patients.
Results. Calculations were performed using the IBM SPSS software. In order to assess consistency between the distribution of the results with the normal distribution, the Kolmogorov-Smirnov test was used. As the distribution differed from the normal distribution, nonparametric methods were used for further analysis. In order to assess the significance of differences between the two groups in terms of quantitative variables, Mann-Whitney tests were used, while Wilcoxon tests were used for dependent samples to assess the significance of changes over time in the same patients (bound pairs). The statistical significance threshold was set at p < 0.001.
Conclusions
1. A significant improvement was noticed in the level of exercise stress tolerance after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
2. A significant improvement was shown in the values of spirometric indicators after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
3. A significant decrease was shown in the level of dyspnoea after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.

Key words:

COPD, modified Bruce protocol, 6-MWT test, physiotherapy

Pobierz/Download/下載/Cкачиваете 下載(僅限波蘭語版)